Sen. Justin Busch

Prohibits a referring physician from receiving compensation or an incentive from a health care entity or another physician, who is in the same health care network as the referring physician, for referring a patient to the health care entity or other physician. Provides that the rules adopted by the department of insurance regarding the all payer claims data base must include a requirement that health payers report physician reimbursement rates for each contract and specify a process for health payers to report the physician reimbursement rates. Requires the all payer claims data base to publish the physician reimbursement rates as a separate line item for each contract instead of in the aggregate.

Provides that any third party administrator, pharmacy benefit manager, employee benefit consultant, or insurance producer acting on behalf of a plan sponsor owes a fiduciary duty to the plan sponsor.

Provides that a utilization review entity may only impose prior authorization requirements on less than 1% of any given specialty or health care service and 1% of health care providers overall in a calendar year. Prohibits a utilization review entity from requiring prior authorization for: (1) a health care service that is part of the usual and customary standard of care; (2) a prescription drug that is approved by the federal Food and Drug Administration; (3) medication for opioid use disorder; (4) pre-hospital transportation; or (5) the provision of an emergency health care service. Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Provides that all adverse determinations and appeals must be reviewed by a physician who meets certain conditions. Requires a utilization review entity to provide an exemption from prior authorization requirements if in the most recent 12 month period the utilization review entity has approved or would have approved at least 80% of the prior authorization requests submitted by the health care provider for a particular health care service. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.

A CONCURRENT RESOLUTION recognizing the ongoing military efforts of the USS Indianapolis (LCS 17) and its crew.

A CONCURRENT RESOLUTION recognizing the ongoing military efforts of the USS Indianapolis (LCS 17) and its crew.

A SENATE RESOLUTION memorializing Senator Jack Sandlin.

A CONCURRENT RESOLUTION recognizing South Bend Police Officer Brian Meador.

A CONCURRENT RESOLUTION recognizing South Bend Police Officer Brian Meador.

A SENATE RESOLUTION to honor Senator Eddie Melton upon his retirement from the Indiana Senate.

Adds a definition of "mixed beverage". Allows the holder of a wine wholesaler's permit to take certain actions concerning mixed beverages and flavored malt beverages. Provides that a wine wholesaler may possess, transport, sell, and deliver mixed beverages to a person who holds a particular permit. Repeals a provision concerning a wine wholesaler that also holds a liquor permit.